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Correspondence |

Isotretinoin Has Yet to Be Shown to Affect Bone Density

S. Elizabeth Whitmore, MD
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Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Dermatol. 2000;136(3):424-424. doi:10.1001/archderm.136.3.424
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In the observational study by Leachman et al,1 the authors state that "loss of bone density [in the isotretinoin-treated subjects, detected in the Ward triangle; P = .03] occurring in the absence of measurable alterations of calcium metabolism is likely to be a direct effect of retinoids on bone." No speculation was made on the likely cause of the loss in bone density in the control group, detected in the femoral neck (P = .04). I believe that the only valid conclusion to be drawn from this report is that we do not know whether 1 course of isotretinoin therapy causes a significant change in bone mineral density in some or any patients.

REFERENCES

Leachman  SA, Insogna  KL, Katz  L, Ellison  A, Milstone  LM. Bone densities in patients receiving isotretinoin for cystic acne. Arch Dermatol. 1999;135961- 965
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Leachman  SA, Insogna  KL, Katz  L, Ellison  A, Milstone  LM. Bone densities in patients receiving isotretinoin for cystic acne. Arch Dermatol. 1999;135961- 965
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